Evidence map›Paper›PMID 36846514›Full record

ArticleJournal of diabetes research2023

Development and Validation of a Risk Prediction Model for Foot Ulcers in Diabetic Patients.

Jing Lv, Rao Li, Li Yuan, Feng-Mei Huang, Yi Wang, Ting He, Zi-Wei Ye

Abstract read
In one paragraph

Article in Journal of diabetes research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jing LvWest China Hospital Endocrinology and Metabolism Department, West China School of Nursing, Sichuan University, Chengdu 610041, China.ORCID https://orcid.org/0000-0003-2227-3811
Rao LiWest China Hospital Endocrinology and Metabolism Department, West China School of Nursing, Sichuan University, Chengdu 610041, China.ORCID https://orcid.org/0000-0002-0897-6273
Li YuanWest China Hospital Endocrinology and Metabolism Department, West China School of Nursing, Sichuan University, Chengdu 610041, China.ORCID https://orcid.org/0000-0002-4826-7543
Feng-Mei HuangWest China Hospital Endocrinology and Metabolism Department, West China School of Nursing, Sichuan University, Chengdu 610041, China.ORCID https://orcid.org/0000-0001-9595-7304
Yi WangWest China School of Nursing, West China Hospital Endocrinology and Metabolism Department, Sichuan University, Chengdu 610041, China.ORCID https://orcid.org/0000-0001-6169-6468
Ting HeWest China School of Nursing, West China Hospital Endocrinology and Metabolism Department, Sichuan University, Chengdu 610041, China.ORCID https://orcid.org/0000-0002-7386-1675
Zi-Wei YeWest China Hospital Endocrinology and Metabolism Department, West China School of Nursing, Sichuan University, Chengdu 610041, China.ORCID https://orcid.org/0000-0003-2296-8170

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The current study analyzed the status and the factors of foot ulcers in diabetic patients and developed a nomogram and web calculator for the risk prediction model of diabetic foot ulcers. Methods: This was a prospective cohort study that used cluster sampling to enroll diabetic patients in the Department of Endocrinology and Metabolism in a tertiary hospital in Chengdu from July 2015 to February 2020. The risk factors for diabetic foot ulcers were obtained by logistic regression analysis. Nomogram and web calculator for the risk prediction model were constructed by R software. Results: The incidence of foot ulcers was 12.4% (302/2432). Logistic stepwise regression analysis showed that BMI (OR: 1.059; 95% CI 1.021-1.099), abnormal foot skin color (OR: 1.450; 95% CI 1.011-2.080), foot arterial pulse (OR: 1.488; 95% CI: 1.242-1.778), callus (OR: 2.924; 95%: CI 2.133-4.001), and history of ulcer (OR: 3.648; 95% CI: 2.133-5.191) were risk factors for foot ulcers. The nomogram and web calculator model were developed according to risk predictors. The performance of the model was tested, and the testing data were as follows: AUC (area under curve) of the primary cohort was 0.741 (95% CI: 0.7022-0.7799), and AUC of the validation cohort was 0.787 (95% CI: 0.7342-0.8407); the Brier score of the primary cohort was 0.098, and the Brier score of the validation cohort was 0.087. Conclusions: The incidence of diabetic foot ulcers was high, especially in diabetic patients with a history of foot ulcers. This study presented a nomogram and web calculator that incorporates BMI, abnormal foot skin color, foot arterial pulse, callus, and history of foot ulcers, which can be conveniently used to facilitate the individualized prediction of diabetic foot ulcers.

Indexed as

Diabetes MellitusDiabetic FootFootHumansLower ExtremityProspective StudiesRisk Factors

Identifiers

PMID36846514
PMCPMC9949944

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.